Healthcare Provider Details

I. General information

NPI: 1245151679
Provider Name (Legal Business Name): BRIGHT LIFE SENIOR CARE OF PA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 MARKET ST STE 3600
PHILADELPHIA PA
19103-7334
US

IV. Provider business mailing address

16 STOOTHOFF DR
NEW HYDE PARK NY
11040-3621
US

V. Phone/Fax

Practice location:
  • Phone: 646-361-4468
  • Fax: 732-889-7520
Mailing address:
  • Phone: 646-361-4468
  • Fax: 732-889-7520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHU CHUN S SU
Title or Position: OWNER
Credential:
Phone: 646-361-4468